Individual
MICHAEL J DI DOMENICO
Active
Individual
MICHAEL J DI DOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071005762
IL
103TC0700X
Clinical Psychologist
071005762
IL
103TC0700X
Clinical Psychologist
071055762
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623280
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/12/2006
Last updated
07/25/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up